MR. Michael James Rivezzo, OTR/L

NPI #1487149720 in Islip, New York

Provider Information

NPI Number: 1487149720
Entity Type: Individual
Name: MR. Michael James Rivezzo, OTR/L
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OTR/L
Enumeration Date: Jun 28, 2018
Last Updated: Jun 28, 2018

Practice Location

Address: 148 MONELL AVE
City: Islip
State: New York
ZIP Code: 11751
Phone: (516) 974-4180

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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